Form DOC03-398 Authorization to Release Medical Information - Washington

Form DOC03-398 Authorization to Release Medical Information - Washington

What Is Form DOC03-398?

This is a legal form that was released by the Washington State Department of Corrections - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DOC03-398?
A: Form DOC03-398 is an Authorization to Release Medical Information form.

Q: What is the purpose of Form DOC03-398?
A: The purpose of Form DOC03-398 is to allow individuals to authorize the release of their medical information to a specified recipient.

Q: Who needs to complete Form DOC03-398?
A: Form DOC03-398 needs to be completed by the individual whose medical information is being released.

Q: Is Form DOC03-398 specific to the state of Washington?
A: Yes, Form DOC03-398 is specific to the state of Washington.

Q: Are there any fees associated with Form DOC03-398?
A: There may be fees associated with processing the release of medical information, but this would depend on the policies of the healthcare provider or organization.

Q: What information is required on Form DOC03-398?
A: Form DOC03-398 typically requires the individual's name, contact information, details of the recipient, specific information being released, and the duration of the authorization.

Q: How long is the authorization valid on Form DOC03-398?
A: The duration of the authorization can vary and is typically specified by the individual completing the form.

Q: Can the authorization on Form DOC03-398 be revoked?
A: Yes, the authorization can usually be revoked by the individual at any time, unless there are legal restrictions in place.

Q: Is it necessary to use Form DOC03-398 to release medical information?
A: Using Form DOC03-398 is recommended as it provides a clear and documented consent for the release of medical information.

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Form Details:

  • Released on June 23, 2021;
  • The latest edition provided by the Washington State Department of Corrections;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DOC03-398 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.

Download Form DOC03-398 Authorization to Release Medical Information - Washington

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  • Form DOC03-398 Authorization to Release Medical Information - Washington, Page 1
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